Personality, body image and eating disorders in a group of individuals diagnosed with gender dysphoria: a qualitative study

Introduction: Several studies have highlighted the role of body dissatisfaction, eating disorders and specific personality patterns as characteristic features of individuals with Gender Dysphoria. The aims of this work are to explore the experience of these individuals related to their body, to investigate their issues related to eating disorders, to distinguish patterns of their personality and of their experience regarding sexuality. Method: 20 users from 18 to 30 years old, with a diagnosis of Gender Dysphoria, at stage T0 of hormone treatment were selected. Personality and sexuality aspects were investigated using the Clinical Diagnostic Interview for the SWAP-200. The BUT questionnaire was used to explore the body aspects. EDI-3 was employed to investigate eating disorders. A qualitative analysis of the transcripts of the interviews was made. Results: This contribution includes preliminary quantitative data from the questionnaires and qualitative data from the interviews. Several themes emerged: experiences with the development of GD, experiences with puberty and bodily changes, perception of one’s body and associated psychological problems, complex behavioral patterns related to eating and sexuality issues. Preliminary data seem to highlight a correlation between body dissatisfaction and disordered eating behaviors. Conclusion: Results pointed out the complexity implied in the relationship with the body for individuals with Gender Dysphoria. This study underlines the need to deepen some aspects of GD that need attention and knowledge in order to better define the guidelines for a correct assessment and support.